Scheda di esercizi di Fondamenti di infermieristica con soluzioni

What is extravasation?

1. ABleeding from the site after the cannula is removed
2. BLeakage of an irritant (vesicant) drug into the tissue around the vein
3. CA cannula that has slipped deeper into the vein
4. DLeakage of plain saline from the cannula into the tissue around the vein

An ileostomy is formed from which part of the bowel?

1. AThe ileum, part of the small intestine
2. BThe sigmoid colon, part of the large intestine
3. CThe rectum, at the end of the bowel
4. DThe stomach, at the top of the gut

Where is a sublingual tablet placed?

1. ABetween the cheek and the gum
2. BUnder the tongue
3. COn top of the tongue to be chewed
4. DIn the back of the throat to be swallowed

Which measure is appropriate for a patient with a fever who feels hot and uncomfortable?

1. AAn ice bath until the patient shivers
2. BLight bedclothes, plenty of fluids and a prescribed antipyretic
3. CRestricting fluids so the patient sweats less during the fever
4. DExtra blankets to make the patient sweat it out

While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?

1. AStop feeding and report for a swallowing assessment
2. BGive a drink of water to wash the food down
3. CFeed more quickly so the meal is finished before they tire
4. DLie the patient flat to rest

Quale segnale d'allarme compare spesso per primo quando le condizioni di un paziente peggiorano?

1. AUn miglioramento dell'appetito
2. BUna frequenza cardiaca più bassa
3. CUn aumento della frequenza respiratoria
4. DUn calo della temperatura corporea

Which simple measure helps reduce the risk of delirium in an older inpatient?

1. AMaking sure they have their glasses and hearing aids
2. BKeeping the lights on all night
3. CLimiting visits from family members
4. DMoving them to a different bed every night to vary their surroundings

A che cosa serve la scala di Braden o di Waterlow?

1. AA valutare il livello di coscienza
2. BSolo a valutare lo stato nutrizionale
3. CA valutare il rischio di lesioni da pressione
4. DA valutare il rischio di caduta